Active NPI
Kimberly Lynn Perry
- Registered Nurse
- Box Elder, SD
National Provider Identifier
1033920988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R059899
- Practice address
- 1084 Sitting Bull CT
Box Elder, SD 57719-2433 - Phone
- (605) 877-1374
- NPI assigned
- Jan 18, 2025
- Last updated
- Jan 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R059899 | SD | Primary |
Addresses
Primary practice location
1084 Sitting Bull CT
Box Elder, SD 57719-2433
Mailing address
1084 Sitting Bull CT
Box Elder, SD 57719-2433
Phone (605) 877-1374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R059899 | SD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737158400000",
"number": "1033920988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1084 SITTING BULL CT",
"city": "BOX ELDER",
"state": "SD",
"postal_code": "577192433",
"telephone_number": "605-877-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1084 SITTING BULL CT",
"city": "BOX ELDER",
"state": "SD",
"postal_code": "577192433",
"telephone_number": "605-877-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-18",
"last_updated": "2025-01-18",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SD",
"license": "R059899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Box Elder, SD
- Monument Health Rapid City Hospital, Inc (Monument Health Box Elder Clinic)
- Monument Health Rapid City Hospital, Inc (Monument Health Box Elder Clinic)
- Monument Health Rapid City Hospital, Inc (Monument Health Box Elder Clinic)
- Taylor Mowery
- NP Connection, PLLC
- Tristen Giles Peterson, ATC
- Deborah Porta, RN
- Donna Renwick, M.A., CCC-SLP
- Terri Leigh Richard
- Nichole Marie Robinson, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.